1980, 09-04 Permit: 80-9589 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BOLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.-
2.
JOB ADDRESS
LOT 'LOCKSUBDIVISION' arta- K9
LEGAL DESCRIPTION - SEE ATTACHED
3.
4.
OWNER
ADDRESS
CONTRA/it
/MIL-
ADIJRESS
DESIGNER ^ ,���P ,
/J,�_)
P ONE
ZI9
rq/6
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
5.
ZI PiajekY/
PHONE
Type Const.
Occupancy Sprinklered
Oyes. ONo O Req'd.
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area ,
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
❑ BLD.
O ALT.
❑ PLMB.
DESCRIBE WORK
8.
IO. AD N.
MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
u?P
EUECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
-a/--90
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
o. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PainticKfaJ
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
3t°°
iP -O3
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ goo
M
PERMIT NUMBER gig°
-7557
04*
*9.00
•*9.00
*9,006
*GOO 3
95888
09-04-80
£ 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 95892 * 9.00 aP
'0(9ibod 8rlp 9 0 7 —
DATE ISSUED PERMIT NO. TOTAL
>-
0
0
0
J